| Ac Medical Care Pl | |
|
4698 Forest Hill Blvd Suite B West Palm Beach FL 33415-5719 | |
| (561) 969-3435 | |
| (561) 969-3107 |
| Full Name | Ac Medical Care Pl |
|---|---|
| Speciality | Clinic/Center |
| Location | 4698 Forest Hill Blvd, West Palm Beach, Florida |
| Authorized Official Name and Position | Andre Celestin (OWNER) |
| Authorized Official Contact | 5619693435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ac Medical Care Pl 4698 Forest Hill Blvd Ste B West Palm Beach FL 33415-5719 Ph: (561) 969-3435 | Ac Medical Care Pl 4698 Forest Hill Blvd Suite B West Palm Beach FL 33415-5719 Ph: (561) 969-3435 |
| NPI Number | 1427241025 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 01/08/2024 |
| Medicare PECOS PAC ID | 9436300308 |
|---|---|
| Medicare Enrollment ID | O20121127000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427241025 | NPI | - | NPPES |
| 105826900 | Medicaid | FL | |
| 08015A | Other | FL | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME83638 (Florida) | Primary |
| Provider Name | Andre Celestin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649230202 PECOS PAC ID: 5799936662 Enrollment ID: I20121206000408 |
| Provider Name | Michelle Santomassino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871668517 PECOS PAC ID: 3072836147 Enrollment ID: I20141222000017 |
| Provider Name | Kenol Ciceron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831716539 PECOS PAC ID: 4183044787 Enrollment ID: I20201021000502 |
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